| NPI | 1053510073 |
|---|---|
| Former Name | KIM O LE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M7361) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD434150) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2019-02-07 |